Individual provider Active NPI

Olushola O Adebusoye

  • Psychiatric/Mental Health Nurse Practitioner
  • Laurel, MD
National Provider Identifier
1689351744
Registry record updated Feb 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
NP1009257 Issued in DC
Practice address
9419 3Rd St N
Laurel, MD 20723-1803
Phone
(240) 593-6991
NPI assigned
Jun 30, 2023
Last updated
Feb 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NP1009257 DC Primary
Community Health Registered Nurse 163WC1500X RN009257 DC

Addresses

Primary practice location

9419 3Rd St N
Laurel, MD 20723-1803

Mailing address

9419 3Rd St N
Laurel, MD 20723-1803
Phone (240) 693-6991

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250321001026 MD Practitioner - Nurse Practitioner 6002338803 Reassigns benefits to 1 organization
I20250321001375 DC Practitioner - Nurse Practitioner 6002338803 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

811 L St SE
Washington, DC 20003-3650

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN009257DCMDCommunity Health Registered Nurse
NP1009257DCMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Allgaier Health Care Services CurrentSince Jul 2, 2023 Accepting new patients
Allgaier Psychiatry PLLC CurrentSince Jun 4, 2025 Accepting new patients
House Calls of the District of Columbia Inc CurrentSince Jan 1, 2025 Accepting new patients
House Calls of the District of Columbia Inc CurrentSince Jan 1, 2025 Accepting new patients
Daniels Home Inc Current Accepting new patients
Finest Inc PastSince Jul 2, 2023 Accepting new patients

Locations

7305 Baltimore Ave
Ste 303
College Park, MD 20740
Phone (240) 596-6991

4560 Crain Hwy
Ste 10
White Plains, MD 20695
Phone (202) 683-4340

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1688083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740009600000",
    "number": "1689351744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9419 3RD ST N",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207231803",
            "telephone_number": "240-693-6991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9419 3RD ST N",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207231803",
            "telephone_number": "240-593-6991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADEBUSOYE",
        "first_name": "OLUSHOLA",
        "middle_name": "O",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-30",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "DC",
            "license": "NP1009257",
            "primary": true
        },
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "DC",
            "license": "RN009257",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MD

Sources for this page

Verify at the official NPI Registry.